在患有复杂尾炎的儿童中缩短抗生素治疗的临床途径的实施
Monica M Milovancev1, Parker T Evans2, Yasmeen Z Qwaider3
1Department of Pediatric Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.
临床实践指南在患有复杂尾炎的儿童中减少了口服抗生素的使用. 这一抗菌药物管理倡议降低了抗生素释放率,但没有对患者的治疗结果产生负面影响.
科学领域:
- 儿科手术 儿科手术
- 传染性疾病 传染性疾病
- 提高质量 提高质量
背景情况:
- 复杂的尾炎管理往往涉及长期使用抗生素.
- 之前的机构实践显示,口服抗生素排放率很高,超过同行医院的平均水平.
- 抗生素管理原则对于优化抗生素治疗至关重要.
研究的目的:
- 实施复杂尾炎的临床实践指南 (CPG).
- 到2024年底,将口服抗生素排放率降至35%.
- 在干预期间监测关键结果和平衡措施.
主要方法:
- 一个多学科的团队开发了一个CPG,重点关注抗生素使用,出院标准和成像.
- 实施涉及提供者教育和电子健康记录订单集.
- 使用P图表分析了在实施前,过渡,实施后和维护期间的结果.
主要成果:
- 口服抗生素释放的基线率为90.7%.
- 在CPG实施后,口服抗生素的持续时间减少.
- 没有观察到停留时间,器官空间手术部位感染率,ED复诊或再入院的显著变化.
结论:
- 实施CPG有效地促进了儿科复杂尾炎的抗菌药物管理.
- 减少了抗生素的使用,但没有影响患者的安全或临床结果.
- 这一举措证明了抗生素管理的成功质量改进战略.
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